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Review Question - QID 210973

Electrolyte Disturbances Potassium Electrolyte Disturbances Hyponatremia Hypernatremia Definition serum sodium of < 135 mmol/L Etiology pseudohyponatremia hyperglycemia hyperlipidemia hypervolemic hyponatremia congestive heart failure nephrotic syndrome cirrh QID: 210973 (M2.OMB.18.4833)
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QID 210973 (Type "210973" in App Search)
A 57-year-old woman presents to the emergency department with chest pain. It started this morning and has been worsening steadily. The patient has a medical history of chronic renal disease treated with dialysis as well as chronic obstructive pulmonary disease (COPD), diabetes, and hypertension for which she is not currently taking her medications. Her temperature is 99.3°F (37.4°C), blood pressure is 119/58 mmHg, pulse is 110/min, respirations are 13/min, and oxygen saturation is 94% on room air. An ECG is obtained as seen in Figure A. Which of the following is the most appropriate next step in management?
  • A
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  • A